Drug Match

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Major Cardiac Drugs for ACLS
You should be somewhat familiar of drugs listed in blue for casual conversation.
(Have an ideal what it is and does)

The ones in green a medic must be familiar with.

Drug Name	Another Trade or Generic Name	Indication	Class	Single Dose	Max Dose	Unique Information
Slow Rate and BP Lower Drugs	XXXXXXXXX	XXXXX	XXXXX	XXXXXXXXX	XXXXXXXXX	XXXXX
1. adenosine	Adenocard	Narrow complex SVT, WPW	Endogenous nucleoside	6mg, 12mg, 12mg IV	30mg	Does not convert A-fib SVT’s
2. labetolol	Normodyne, Trandate	Hypertensive emergencies	Alpha & Beta adrenergic blocker	10mg IV	150mg single dose. 300mg max total.	Do given with high degree heart blocks.
3. propranolol	Inderal	Hypertension, angina, V-tach, V-Fib, refractory to other therapies first.	Beta adrenergic blocker	1-3mg IV	0.1mg/min	Dobutamine, nore-epi, dopamine may reverse effects.
4. verapamil	Isoptin	SVT's (a-fib, a-flutter), unstable angina	Calcium channel blocker	2.5-5mg IV	30mg	Contraindicated in WPS or sick sinus syndrome.
5. calcium chloride	Generic only	Hyperkalemia (except with digitalis toxicity), Calcium channel blocker toxicity	Electrolyte	8-16mg/kg slow IV	Doctor order varies.	Tissue necrosis followed by IM use or IV infiltration.
6. diltiazem	Cardizem	A-Fib, A-flutter, Multifocal Atrial SVT	Calcium channel antagonist	0.25mg/kg IV	titrate to heart rate	Shelf life at room temp is 1 month.
MONA	XXXXXXXXX	XXXXX	XXXXX	XXXXXXXXX	XXXXXXXXX	XXXXX
7. aspirin (ASA)	Bayer, St. Joseph, Ecotrin	Mild/Moderate pain, prevent platelet aggregation	Analgesic, Antiinflammatory, antipyretic, antiplatelet	160-325mg PO/Chew	100mg/kg/day	Contraindicated in children with flulike symptoms. Overdose ringing in the ears.
8. morphine sulfate	Astromorph	Chest pain not right sided. pulmonary edema, moderate to severe pain.	Opioid analgesic	2-4mg IV	15mg	Do not use with head injuries.
9. nitroglycerine	Nitrostat	Ischemic chest pain, CHF hypertension, pulmonary hypertension. Not given if right ventricular failure	vasodilator	0.3-0.4mg SL	3 doses / 1.2mg total	Do not give if recently taken Cialis, Levitra, Viagra.
10. promethazine	Phenergan	Nausea, vomiting, motion sickness, pre/post operative, sedation, potentiation of analgesics.	Phenothiazine, antihistamine	12.5-25mg IV/IM	Doctors orders	Is given with narcotics to potentiate effects.
Ventricular Drugs	XXXXXXXXX	XXXXX	XXXXX	XXXXXXXXX	XXXXXXXXX	XXXXX
11. lidocaine	Xylocaine	V-Tach, V-Fib, significant PVC's	Antidysrhythmic, local anesthetic	Pulseless 1.5mg/kg IV	3mg/kg IV	Seizures at high doses, see yellow
12. amiodarone	Cordarone	V-fib, unstable V-tach	Class III Antidysrhythmic	Pulseless 300mg repeat 5min @150mg IV	15mg/kg/day IV	May potentiate bradycardia and hypotension.
13. procainamide	Pronestyl	Suppress PVC's, V-fib, V-tach refractory to lidocaine.	Antidysrhythmic	20-50mg/min	17mg/kg	Contraindicated in torsades. Takes 10 minutes to start to work.
14. magnesium sulfate	Generic only	Seizures or eclampsia, torsades, hypomagnesemia, refractory V-fib. Status asthmaticus not responsive to beta drugs.	Electrolyte, anticonvulsant	1-2g IV	30-40g/day	Contraindicated in heart blocks or myocardial damage. Dilute in D5W.
Sedatives	XXXXXXXXX	XXXX	XXXXX	XXXXXXXXX	XXXXXXXXX	XXXXXX
15. diazepam	Valium	Acute anxiety state, alcohol withdrawal, muscle relaxation, seizure activity, pre-electrical therapy.	Benzodiazepine	5-10mg IV	30mg over 8 hours.	Incompatible with most fluids. Should use NS.
16. lorazepam	Ativan	Agitation requiring sedation, status epilepticus	Benzodiazepine	1-4mg IV/IM	8mg	Expires in 6 weeks when not refrigerated.
Vasopressor	XXXXXXXXX	XXXX	XXXXXX	XXXXXXXXX	XXXXXXXXX	XXXXX
17. vasopressin	Pitressin	Alternative pressor to epi in pulseless pts. Vasodilatory shock.	Natural antidiuretic hormone	40U IV	40U IV	Contraindicated in responsive pt with coronary artery disease.
18. Romazicon	flumazenil	Reverse excessive benzodiazepine sedation or overdose	Benzodiazepine receptor antagonist	0.2mg IV over 15 seconds. May increase to 0.3mg then 0.5mg	No max dose in emergency	Do not give if seizure is possible.
19. epinephrine 1:10,000	Adrenalin	Acute allergic reastion, cardiac arrest, bronchial asthma	Sympathomimetic	Cardiac: 1mg IV every 3-5 min. Alergic reaction = mild 0.3SQ, moderate/severe 0.3 to 0.5mg IV	No max dose in emergency	Deactivated by alkaline solutions. IE Sodium Bicarb
Inotropic/Chronotropic	XXXXXXXXX	XXXXX	XXXXXX	XXXXXXXXX	XXXXXXXXX	XXXXXX
20. dopamine	Intropin	Hemodynamically significant (70-100mmHg or less) hypotensive if no hypovolemia present.	Sympathomimetic	1-20mcg/kg/min IV	20mcg/kg/min	Contraindicated in pts with pheochromocytoma.
21. dobutamine	Dobutrex	Inopropic sipport for left ventricular dysfunction	Sympathomimetic	2-20mcg/kg/min IV	titrate to effect	Increase in heart rate of 10% may induce myocardial ischemia.
22. norepinephrine	Levophed	Cardiogenic shock less than 70mmHg	Sympathomimetic	0.5-30mcg/min	30mcg/min	No given for hypotensive pts with hypovolemia
23. digoxin	Lanoxin	SVT's (especially a-fib/flutter), CHF, cardiogenic shock.	Cardiac Glycoside	10-15mcg/kg IV	Maintenance dose as ordered.	Toxicity: Yellow or Green vision. Skin rash.
Speed Up Heart	XXXXXXXXXX	XXXX	XXXXX	XXXXXXXXXX	XXXXXXXXX	XXXXX
24. Atropine	atropine sulfate	Unstable Bradycardia, organophosphate	Anticholinergic agent	cardiac 0.5 to 1mg IV. Organophosphate poisoning 1-2mg	0.04mg/kg	Paradoxical bradycardia if pushed too slow.
25. isoproterenol	Isuprel	Hemodynamically significant bradycardias unresponsive to atropine, TCP, dopamine.	Sympathomimetic	1mg in 250mL D5W IV. Infuse at 2-10 mcg/min	until desired heart rate	Best use is for hemodynamically significant bradycardias secondary to beta blocker overdose. Also helpful in the management of torsades.
Others	XXXXXXXXX	XXXXX	XXXXXXX	XXXXXXXXX	XXXXXXXXX	XXXXXX
26. furosemide	Lasix	Pulmonary edema associated with CHF or renal disease	Loop diuretic	20-40mg (0.5-1mg/kg) IV	6mg/kg	Hypokalemia
27. sodium bicarbonate	Generic only	Tricyclic antidepressant overdose, DKA, metabolic acidosis.	Electrolyte, alkalinizing agent	1mEq/kg IV	doctors orders	May result in rise of intracellular Pco2
28. dextrose 50%	Generic only	Hypoglycemia, AMS or seizure of unknown etiology	Carbohydrate, hypertonic solution	25-50g slow IV	May repeat as needed.	May precipitate Wernick’s encephalopathy.
29. naloxone	Narcan	Reverse CNS/respiratory depression from opioids.	Opioid Antagonist	0.4-2mg IV/IM/SQ	10mg over 10 minutes	Works on morphine, heroin, methadone, oxycodone, codeine, demoral

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